ASGE International Sampler (On-Demand) | 2024-CHROMOPANCREATOSCOPY FOR PREOPERATIVE EVALUATION OF MAIN DUCT INTRADUCTAL PANCREATIC MUCINOUS NEOPLASM. FIRST IN HUMAN CASE REPORT

CHROMOPANCREATOSCOPY FOR PREOPERATIVE EVALUATION OF MAIN DUCT INTRADUCTAL PANCREATIC MUCINOUS NEOPLASM. FIRST IN HUMAN CASE REPORT

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Video Transcription

Video Summary

Chromopancreatoscopy was performed on a 59-year-old male with a dilated main pancreatic duct for preoperative evaluation of intraductal pancreatic mucinous neoplasm. Endoscopic procedures were used to visualize and biopsy the lesion, aided by dye-based pancreatoscopy with methylene blue to highlight dysplastic epithelium. The blue dye helped differentiate areas of dysplasia within the lesion from surrounding inflamed tissue. Biopsies revealed non-dysplastic and dysplastic areas of the main pancreatic duct, guiding the decision to proceed with a Whipple procedure instead of total pancreatectomy. This innovative technique shows promise in accurately assessing and treating main duct IPMN cases, warranting further investigation.

Asset Subtitle

Video Plenary
Kambiz Kadkhodayan

Keywords

Chromopancreatoscopy

Intraductal pancreatic mucinous neoplasm

Methylene blue

Whipple procedure

Pancreatoscopy